Provider Demographics
NPI:1568753697
Name:GIREESH, LIJA (FNP-BC)
Entity Type:Individual
Prefix:MS
First Name:LIJA
Middle Name:
Last Name:GIREESH
Suffix:
Gender:F
Credentials:FNP-BC
Other - Prefix:
Other - First Name:LIJA
Other - Middle Name:
Other - Last Name:SUNDERLAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4755 OGLETOWN STANTON RD
Mailing Address - Street 2:EMPLOYEE HEALTH, CHRISTIANA CARE HEALTH SYSTEMS
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19718-0001
Mailing Address - Country:US
Mailing Address - Phone:302-397-4532
Mailing Address - Fax:
Practice Address - Street 1:4755 OGLETOWN STANTON RD
Practice Address - Street 2:EMPLOYEE HEALTH, CHRISTIANA CARE HEALTH SYSTEMS
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19718-0001
Practice Address - Country:US
Practice Address - Phone:302-397-4532
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-04-24
Last Update Date:2011-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDAC000852363LF0000X
DELG-0000521363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily